Active NPI
Minou Karbakhsch, D.D.S., M.S.D.
- Periodontics
- Tacoma, WA
National Provider Identifier
1659492718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 8579
- Practice address
- 2302 So. Union Ave.
Suite C-22
Tacoma, WA 98405 - Phone
- (253) 752-6336
- Fax
- (253) 752-5655
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 8579 | WA | Primary |
Addresses
Primary practice location
2302 So. Union Ave.
Suite C-22
Tacoma, WA 98405
Mailing address
2302 So. Union Ave.
Suite C-22
Tacoma, WA 98405
Phone (253) 752-6336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8579 | WA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald E. Harmon, D.D.S., P.S. | Periodontics | Past | Accepting new patients |
| Karbakhsch Periodontics & Implants - South PLLC | Periodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Puyallup, WA
- NPI 1639458722
-
- Periodontics
- Tacoma, WA
- NPI 1528288008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1659492718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 SO. UNION AVE.",
"address_2": "SUITE C-22",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-752-6336",
"fax_number": "253-752-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 SO. UNION AVE.",
"address_2": "SUITE C-22",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-752-6336",
"fax_number": "253-752-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARBAKHSCH",
"first_name": "MINOU",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WA",
"license": "8579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.